Iindimbo ze Rotator iindima eziqhelekileyo ezidibeneyo ezihlangeneyo. Ngenxa yokuxhomekeka kwethu emagxeni kwimisebenzi emininzi, ukulimala kwe-cuffator ngokuqhelekileyo kuyinto ephazamisayo.
Izinto ezi-4 zokwazi malunga neCuffator Cuff
- Ikhuphe yokujikeleza yiqela leetoni ezine kunye nezihlunu ezijikeleze umxhelo wegxala.
Ngokuqhelekileyo zidideke ngamanye amagama (i-rotary cuff, inkomishi ye-rotator), igama elifanelekileyo elisetyenziselwa ukuchaza ezi ntlobo kunye neetonyoni yi-cuff rotator. Xa isalathisi se-rotator senzakele, yintsimbi yesikhumba sokujikeleza esiyingozi; Ziyi-tendon ezidibanisa izihlunu ze-rotator kwi-bone. Xa iintambo zivutha okanye ziqhekekile, azikwazi ukusebenza ngokufanelekileyo. Inkompo yokujikeleza ayibalulekanga kuphela ukuphakamisa kunye namandla ehlombe, kodwa iimisipha kunye neetononi zibaluleke kakhulu ukuzinza okuqhelekileyo kunye nomatshini wegxalaba. Ngaphandle kwesikhombi sokujikeleza ngokusebenzayo, unokulindela umda othile kumsebenzi wempuphu oqhelekileyo. - Akusiyo yonke intlungu yexinzelelo evela kwingozi yokulimala.
Abantu abaninzi abaneentlungu zentlungu bangaxelelwa ngumhlobo okanye ilungu lentsapho ukuba iimpawu zabo zivakala njengeengxaki zabo zokujika. Nangona kunjalo, kukho ezinye izizathu zentlungu. Ngaphandle kokuxilongwa ngokuchanekileyo, unyango alukwazi ukujolisa kakuhle ingxaki. Ukuba omnye umqathango-njengengxowanqabiseko eqingqiweyo okanye i- labral tear- not recognized, isicwangciso sonyango esiphuhlisiwe singenakusebenza. Ngaphambi kokuba uqalise nayiphina isicwangciso sonyango, qiniseka ukuba uyayiqonda intsizi yakho.
- Izinyembezi ze Rotator ziqheleke kakhulu , ngokukodwa xa sisebudala.
Ngethuba iinyembezi zokujikeleza eziqhelekileyo ziqhelekileyo kubantu abakwi-20s, i-30s, kunye ne-40s, njengoko sikhula, ziba zixhaphake kakhulu. Enyanisweni, ngelixa umntu e-70s okanye kwi-80s, iindwangu zokujikeleza zilindeleke. Njengokuba ezinye iinxalenye zomzimba wethu zitshintsha ngobudala (cinga iinwele ezimhlophe okanye i-wrinkles ye-skin), i-rotator cuff kumntu oneminyaka engama-60 okanye ngaphezulu ayikho into engavamile. - Iingqameko zonke zokulila iinyembezi ziza kuphucula unyango olungapheliyo .
Nangona utyando ludlala indima ebalulekileyo kwaye iyimfuneko ekhatheni le nzakala, uninzi lwabantu abane-cookie yezonkqenkqeza azizange zifune ukungenelela ngoncedo kwaye lukwazi ukuqhubeka nokuphila okuqhelekileyo, okusebenzayo. Nangona ngamanye amaxesha utyando luba luyimfuneko, oku akusiyo yonyango lokuqala lokulimala kwebhopu.
Iimpawu ze-Rotator Cuff Injury
Uninzi lwabantu abanomkhumbi we-rotator oluqhekekileyo abaziqondi ukuba banenkinga, njengoko baninzi abanakho ukungahambi kakuhle kunye nokunciphisa ubuncinane kwimisebenzi. Ukuba umntu ufumana iimpawu zeengxaki ze-cupator , mhlawumbi enye into yokuba baveze intlungu. Le ntlungu iphezulu ngaphezu kweplanga kunye nengalo. Kwamanye abantu, intlungu inokuhlahla ngaphaya kwengalo yonke indlela eya elukhosini.
Ezinye iimpawu eziqhelekileyo zengxube yeendwangu zokujikeleza ziquka:
- Ubuthathaka beli gxalaba: Oku kunokubangela ubunzima ukuphakamisa ingalo phezulu okanye ubunzima ngemisebenzi efana nokufikelela, ukugqoka okanye ukuthwala izinto.
- Ubungqina bengalo: Ngamanye amaxesha, ukuba kukho ukuvuvukala okuphawulekayo, kunokubangelwa ngumsindo obangelwayo obangela ukuphazamiseka nokugubungela ukuhla kwengalo.
- Ukuvuvukala kwegxalaba: Kwalimala ngokukhawuleza , ukuvuvukala okanye nokuba kutyhaphaza ngokubambisana kwimixholwana.
Izinketho zokwelapha kwiCuffator Cuffs
Izinyembezi ezininzi zokujikeleza zingaphathwa ngaphandle kokuhlinzwa. Enyanisweni, yincinci elincinci yezigulane ezigqityiweyo ziqhutyelwa ukuhlinzwa ngenxa yenkomo yokujikeleza. I-rotator ye-rotator cuff treatments ingaquka:
- Ulungiso lwenyama
- Imithi echasayo
- Isicelo seqhwa
- Iiliti zeCortisone
Injongo yalezi zonyango kukunciphisa ukuvuvukala nokuqinisa imisipha ejikeleze ihlombe lakho. Uphulo lwamaziko luba luncedo ekuphuculeni ukuhamba kunye neendlela zokudibanisa ngexesha lokubeka ingcinezelo engqongqo kwimisipha kunye neeton. Kwaye abantu abenza imisebenzi yezemidlalo banokufumana ukukhululeka okukhulu ngoncedo oluvela kwi-tragedgable therapist.
Rotator Cuff Surgery
Nangona kunjalo, kwezinye iimeko, utyando lunokucetyiswa ukuba lulungiswe iitonti eziqhekekileyo. Ukuchonga xa utyando lungafanelekile kuxhomekeke kuluhlu lwe-rotator inkqonkqoza, inqanaba lakho lomsebenzi, kunye neyeza zonyango ezisetyenzisiweyo.
Nangona utyando luhlala lusetyenziso olungcono lokuzama ukubuyisela umsebenzi oqhelekileyo wegxalaba, zikho izizathu zokuba abantu bangenalo ukuhlinzwa. Okokuqala, abaninzi abantu abadingi umsebenzi opheleleyo ukwenza yonke imisebenzi abafuna ukuyenza. Abantu abaninzi banokwenza imidlalo, imisebenzi yasemakhaya, kunye nemisebenzi yabo kunye neengqayi zokujikeleza. Okwesibini, ukuhlaziywa emva kokuhlinzwa kunokuthatha ixesha elide kwaye kunzima. Izigulane ezininzi zinempawu ezintandathu kwiinyanga emva kokuhlinzwa.
Kukho iindlela ezininzi zokugonywa kwonyango lomqhubi we-rotator . Uhlobo oluchanekileyo lotyando lunokuxhomekeke kwizinto ezibandakanya ubungakanani kunye nendawo yokulila, ugqirha owenzela ugqirha, kunye nemisebenzi ofuna ukuyibuyisela emva kokuhlinzwa. Xoxa malunga naluphi uhlobo lotyando olunokucetyiswa ukuba unyango lwenkokhelo yakho yokujikeleza idle kunye nodokotela wakho.
Rehab Emva koPilisi
Ukuphulukiswa emva kokuhlinzwa ngumbhobho we-rotator ukulila kuncike ngokupheleleyo ekubeni unako ukwenza ukulungiswa okufanelekileyo nokuphepha izinto ezinokulimaza i-tendon zokwelapha. I-Rehab emva kokuhlinzwa ngumbhobho we-rotator ingahluka ngokubanzi, kodwa kukho imigaqo eqhelekileyo enyanisekileyo kubantu abaninzi abaqhutywe ukuhlinzwa ukuze baphathe ikhuni yokujikeleza.
Kwakhona, ukuhlaziywa emva kokuqhutyelwa kwe-cuffler ye-cuff kunokude kwaye kunzima. Izigulane ezininzi zithatha unyaka ukuba zibuyele eziqhelekileyo. Ezinye iinkqubo zokugqirha ezincinci zingaphinda ziphinde zibuye zibuye zenze i-rehab zibuhlungu kangako, kodwa zilungele ukufumana kwakhona oko kunokude kube ngaphezu kwakho. Iindaba ezilungileyo kukuba, inani elikhulu lezigulana libuyela kwimisebenzi epheleleyo kwiinyanga eziliqela, kwaye ezininzi zibuyela kwimisebenzi yazo eqhelekileyo.
ILizwi
Ingxaki yombhobho yokujikeleza, njengawo nawuphi na ukulimala, akusayi kuphinda yinto into eyamkelayo. Kwinqanaba elihle, khumbula ukuba abaninzi abantu abanokukwazi ukubuyela kwimisebenzi yabo eqhelekileyo emva kokunyanga okufanelekileyo kwezi nzakalo. Nangona utyando lungaba ngonyango olululo, uninzi lwabantu lunokufumana iziphumo eziyimpumelelo ngeendlela ezingenasiphelo zonyango, ehlala yindlela ekhethiweyo ukuba ungayithatha.
> Imithombo:
> Pappou, IP, et al. "I-AAOS Imilinganiselo efanelekileyo yokusetyenziswa: Ukuphucula ulawulo lwe-Rotator Cuff Tears" J Am Acad Orthop Surgery. 2013 Dec; 21 (12): 772-5.
> Pedowitz RA, et al. "Ukuphuculwa kolawulo lweengxaki zeengqayi ze-rotator" J Am Acad Orthop Surg. 2011 Juni; 19 (6): 368-79.